Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

The Knolls

Valhalla, NY · 20 certified beds · Last Life Safety survey October 16, 2023

CMS Certification Number 335844 · first certified April 2003

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

  • Ownership changed October 31, 2016 (change of ownership)to BETHEL METHODIST HOME from HEBREW HOSPITAL SENIOR HOUSING, INC.
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NY

8 citations — more than 20% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2025 to November 2025), and past the point by which nine in ten NY facilities have been surveyed. This facility’s last Life Safety survey was October 2023. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility8NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-0922021-0732023-10
Citations at each Life Safety survey
Survey dateCitations
September 12, 20193
July 6, 20212
October 16, 20233

Most-cited tags

Most-cited tags at this facility
K-09182K-09151K-07611E-00361K-03531K-07121K-07811
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-10-16
K-0915Have proper power supply for life support equipment.12023-10-16
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-10-16
E-0036Establish emergency prep training and testing.12021-07-06
K-0353Inspect, test, and maintain automatic sprinkler systems.12019-09-12
K-0712Have simulated fire drills held at unexpected times.12019-09-12
K-0781Have restrictions on the use of portable space heaters.12021-07-06

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 3
  • Emergency Preparedness Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies3
Emergency Preparedness Deficiencies1
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 16, 2023 — 3 citations

Citations issued on October 16, 2023
TagWhat the surveyor checksStatus
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 27, 2023)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (November 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 27, 2023)

July 6, 2021 — 2 citations

Citations issued on July 6, 2021
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (September 6, 2021)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (September 6, 2021)

September 12, 2019 — 3 citations

Citations issued on September 12, 2019
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 25, 2019)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 25, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 25, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.